Pseudomonas—Spectrum of Disease Presentations for the Inpatient Dermatologist

Yae Kye, Grant Zhao, Cuong V. Nguyen*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Purpose of Review : Pseudomonas aeruginosa-associated cutaneous dermatoses are reasons for consultation for the inpatient dermatologist. This review provides an overview of the spectrum of Pseudomonas-associated cutaneous diseases that may present in the inpatient setting along with the diagnostic work-up and clinical management. Recent Findings : Pseudomonas aeruginosa infections are an ongoing healthcare concern due to its intrinsic and acquired antimicrobial resistance. The rising incidence of multi-drug resistant P. aeruginosa strains has led to the prioritization and development of effective drugs with increased efforts towards antibiotic stewardship. Diagnostic and clinical management for P. aeruginosa infections include blood and tissue culture and, in immunocompromised or severely ill patients, the use of 2 antipseudomonal agents with de-escalation once the culture and antibiotic susceptibilities become available. Summary : Pseudomonas aeruginosa is frequently considered among the differential diagnosis of causative pathogens in inpatient cutaneous infections, most importantly due to its associated high morbidity and mortality. The disease presentation spans various anatomical locations, and the clinical course may be difficult to manage due to antibiotic resistance. Clinicians should be familiar with the spectrum of disease presentations as well as the appropriate diagnostic work-up and management strategies.

Original languageEnglish (US)
Pages (from-to)115-124
Number of pages10
JournalCurrent Dermatology Reports
Volume12
Issue number3
DOIs
StatePublished - Sep 2023

Keywords

  • Chloronychia
  • Ecthyma gangrenosum
  • Folliculitis
  • Green nail syndrome
  • Inpatient dermatology
  • Interdigital infection
  • Neutrophilic eccrine hidradenitis
  • Panniculitis
  • Perichondritis
  • Pseudomonas aeruginosa
  • Soft tissue infections
  • Wound infections

ASJC Scopus subject areas

  • Dermatology

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